Evolución de las causas de defunción en una ciudad de África occidental: Banjul, 1942-1997

• Main Authors: Marianne A.B. van der Sande (Author), Hazel M. Inskip (Author), Kebba O. Jaiteh (Author), Nicholas P. Maine (Author), Gijs E.L. Walraven (Author), Andrew J. Hall (Author), Keith P.W.J. McAdam (Author)
• Format: Book
• Published: The World Health Organization.
• Subjects: article
• Online Access: Connect to this object online.

Summary

OBJECTIVE: To determine trends in the causes of death in a West African town. Mortality caused by infectious diseases is reported to be declining while degenerative and man-made mortality factors are increasingly significant. Most mortality analyses for sub-Saharan Africa have involved extrapolation and have not been derived from community-based data. METHODS: Historical data on causes of death coded by physicians were analysed for the urban population of Banjul for the period 1942-97. As the calculation of rates is not possible in the absence of a reliable population denominator, age-standardized proportional mortality ratios (PMRs) for men and women by major groups of causes of death were calculated, using the 1942-49 data for reference purposes. FINDINGS: Most deaths were attributable to communicable diseases. There was a shift in proportional mortality over the study period: the contribution of communicable diseases declined and that of noncommunicable diseases and injuries increased. These trends were more marked among men than women. CONCLUSIONS: The data illustrate that while noncommunicable diseases and injuries are emerging as important contributors to mortality in sub-Saharan Africa, communicable diseases remain significant causes of mortality and should not be neglected.

Item Description

0042-9686
10.1590/S0042-96862001000200008